Systematic assessment of medication side effects during follow-up appointments, what is your process ?

Hi! Non-US psychiatry resident here.

I'm a bit ashamed to ask this late into my residency, but I've been feeling quite disorganized lately when it comes to discussing potential side effects and reassessing them during outpatient follow-up.

Here's what I do: when starting antipsychotics or antidepressants, I usually discuss 1 to 3 of the most common or relevant side effects and I'd say I also provide written information around 60% of the time. However, I realize I rarely revisit these discussions with patients who were started on medication during involuntary hospitalization, which is something I should improve.

Lastly, I think I'm bad at systematically screening for side effects during follow-ups. Do you consistently ask about constipation, dyskinesia, weight gain, etc., at every outpatient appointment? I tend to start with an open-ended question like "Have you noticed any side effects?" but it feels like it can be not exhaustive enough.

Honestly, it feels like i need to structure my approach better. What do you do, and how does that work for you ? Have you changed some things about your process because you encountered a problem?

I am really interested to read your answer, because i'm lacking so far, and it's annoying me. Thanks

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u/anthelli — 6 days ago
▲ 4 r/Lille

Avez vous des recommandations psychologue en therapie de couple / thérapie familiale ?

Hello !

Je pose la question du titre à tout hasard : avez-vous de bonnes adresses psychologues de couple ?

Safe ou disons en mesure de communiquer autour des thématiques de charge mentale / biais de classe/race/genre (j'ai eu l'impression par le passé en thérapie familiale que les thematiques sociologiques etaient un peu évincée des questionnement de la dynamique du groupe, et j'aimerais eviter de revivre ça)

Merci d'avance

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u/anthelli — 2 months ago

Looking for class critical theory in fanfiction

Hi, i'm looking for fics that use class critical theory as a main theme.

I'm thinking something like the Rigel Black series, where a huge part is spent among Knockturn alley, or the slytherin Hermione series where she met hedge witches.

I'd like to read something that takes into account the experience of downthrodden people. Hogwart period or post war don't matter. If there could be some defiance against Pureblood aristocrats, i'd like it very much !

Thanks in advance!

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u/anthelli — 3 months ago

How could I (32F) support my partner (30M) of 7 months, in finding his "found family" / creating meaningful and fulfilling relationships with friends ?

I (32F) am with my partner (30M) for 7 months now.

One thing I know because he told me about it is that he suffers from a lack of connexion and uplifting community. ​

He went through what seems to be a somewhat classic (in the statistical sense) male experience in the last 10 years of his life : he grew up, finished college, and slowly grew distant with all of his friends until they are almost non existent. He has maybe 3 real friends right now, two that are engaged and with a yound baby so not often around. The other is far away. He has aquaintances from online games. And he met a few people at our dance club, but they are not real friends yet.

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Part of this situation is from his past relationship, where he couldn't invite people over. Part of it is on him sadly, because he does seems to have some trouble nourishing the relationship to keep them alive. All of that is slowly making him more insecure, as if "something is wrong with him because he is the common denominator and that's why he can't keep a friend" (that's something he told me)

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He is absolutely adored by all my friends and my family, so I'm a bit baffled about what is missing for him to finally have his "found family" Like, he went from a stranger to a must have at parties and dinner with my friends, he is invited by them even when i'm on call so he does seems to be very welcomed.

He is also currently going to therapy for some self esteem issues. I know it takes time to see big results.

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My question is : people who went from having a small social life to a thriving one, is there something a partner can do to help it grow ? I encourage him to find other hobbies apart from me (we do social danse together) and to go out have fun with his friends or acquaintances, I'm here to uplift him, but i wish i could do more, he seems so hurt by that and connexion is such an important value for him.

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Tldr : what can I do to support my partner in developing fulfilling friendships ?

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u/anthelli — 4 months ago